Individual
DR. GREGORY W SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1090 EAST ALTON GLOOR BLVD, BROWNSVILLE, TX 78526
(956) 542-1850
(956) 542-2879
Mailing address
PO BOX 1768, SAN ANTONIO, TX 78296-1768
(956) 542-1850
(956) 542-2879
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K5700
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149890903
MEDICAID
TX
01
—
6362570001
MEDICARE NSC
TX
01
—
8CB205
BLUE CROSS BLUE SHIELD
TX
01
—
8F22500
MEDICARE
TX
01
—
P00017885
MEDICARE - RAILROAD
TX
Enumeration date
11/10/2005
Last updated
02/01/2016
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